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Review
. 2023 Mar;39(3):571-575.
doi: 10.1007/s00381-022-05760-9. Epub 2022 Nov 22.

Aggressive vertebral hemangiomas in children

Arunkumar Sekar  1 , Debajyoti Datta  2 , Parameshwar  2 , Krishna Mohan Gulla  3 , Sumit Bansal  2
Affiliations
Review

Aggressive vertebral hemangiomas in children

Arunkumar Sekar et al. Childs Nerv Syst. 2023 Mar.

Abstract

Background: Aggressive vertebral hemangiomas are rare tumors in children, usually occurring in the thoracic spine that can cause significant neurological morbidity. They are technically difficult to treat with significant risk of blood loss during surgery.

Methods: We describe a case of aggressive vertebral hemangioma managed in our institution. We performed a literature review of reported cases of aggressive vertebral hemangiomas in pediatric age group. We discuss the clinical presentation, diagnosis, and management of these lesions.

Results: We identified 23 cases of aggressive vertebral reported in children. Neurodeficit was the most common presentation, and the most common location was the thoracic spine. Surgery was the most common modality of treatment. All the patients reported in literature had improvement in their symptoms after treatment.

Conclusion: Although technically challenging, aggressive vertebral hemangiomas have a good outcome after treatment. Treatment should be tailored to the individual patient. Further studies are needed to determine the optimum treatment strategy.

Keywords: Compressive myelopathy; Pediatric; Vertebral hemangioma.

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References

    1. Cloran FJ, Pukenas BA, Loevner LA et al (2015) Aggressive spinal haemangiomas: imaging correlates to clinical presentation with analysis of treatment algorithm and clinical outcomes. https://doi.org/10.1259/bjr.20140771 - DOI
    1. Issa M, Lucas G, Violas P et al (2015) Vertebroplasty for vertebral hemangioma in children: a report of two cases with 2-year follow-up. Childs Nerv Syst 31:2179–2183. https://doi.org/10.1007/S00381-015-2777-4 - DOI - PubMed
    1. Sahajwalla D, Vorona G, Tye G et al (2021) Aggressive vertebral hemangioma masquerading as neurological disease in a pediatric patient. Radiol case reports 16:1107–1112. https://doi.org/10.1016/J.RADCR.2021.02.023 - DOI
    1. Vasudeva VS, Chi JH, Groff MW (2016) Surgical treatment of aggressive vertebral hemangiomas. Neurosurg Focus 41. https://doi.org/10.3171/2016.5.FOCUS16169
    1. Manning HJ (1951) Symptomatic Hemangioma of the Spine1. 56:58–65. https://doi.org/10.1148/56.1.58

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